Individual
DR. KRISHNAMURTHI SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
376 6TH AVE, BROOKLYN, NY 11215-8021
(718) 499-0940
(718) 499-2912
Mailing address
450 CLARKSON AVE, BOX 126, BROOKLYN, NY 11203-2056
(718) 270-1638
(718) 270-3924
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
137456-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00795111
—
NY
Enumeration date
12/07/2005
Last updated
07/10/2015
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